OPERATIVE CHOLANGIOGRAPHY - A PERSPECTIVE

被引:5
作者
ASKEW, A [1 ]
BATTERSBY, C [1 ]
机构
[1] ROYAL BRISBANE HOSP,DIV SURG,BRISBANE,QLD 4029,AUSTRALIA
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1992年 / 62卷 / 07期
关键词
BILE DUCT; CHOLANGIOGRAPHY; CHOLECYSTECTOMY; EXPLORATION;
D O I
10.1111/j.1445-2197.1992.tb07045.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Two hundred and eighty-seven patients having operative cholangiograms were identified from a prospective study of 346 patients undergoing surgery for gallstones.1 Forty-two patients (14.6%) had filling defects and bile duct (BD) exploration. The false-positive exploration rate was 2.8%. Eight patients (2.8%) had unexpected BD calculi with no abnormality in pre-operative liver function tests or ultrasound. If a policy of selective operative cholangiography is pursued, then failure to detect a small number of duct stones must be expected, although unnecessary duct exploration is likely to be eliminated. The clinical significance of undetected BD calculi remains debatable.
引用
收藏
页码:530 / 532
页数:3
相关论文
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  • [1] Battersby C., Askew A., Experience with biliary audit, Aust. N.Z. J. Surg., 61, pp. 570-575, (1991)
  • [2] Mirizzi P.L., Operative cholangiography, Surg. Gynecol. Obstet., 65, pp. 702-710, (1937)
  • [3] Yip A.W.C., Ng W.S., Chow W.C., Choi T.K., Lam K.H., Plea for selective operative cholangiography, J. R. Coll. Surg. Edinb., 36, pp. 21-24, (1991)
  • [4] Mofti A.B., Ahmed I., Tandon R.C., Al-Tameem M.M., Al-Khudairy N.N., Routine or selective peroperative cholangiography, Br. J. Surg., 73, pp. 548-550, (1986)
  • [5] Mills J.L., Beck D.E., Harford F.J., Routine operative cholangiography, Surg. Gynecol. Obstet., 161, pp. 343-345, (1985)
  • [6] Cade R., Collopy B., Ryan P., Routine or indicated operative cholangiography, Aust. N.Z. J. Surg., 50, pp. 481-483, (1980)
  • [7] Denbesten L., Berci G., The current status of biliary tract surgery: An international study of 1072 consecutive patients, World J. Surg., 10, pp. 116-122, (1986)
  • [8] Gerber A., Apt M.K., The case against routine operative cholangiography, Am. J. Surg., 143, pp. 734-736, (1982)
  • [9] Askew A.R., Ward M., Cowen A.E., Early postoperative endoscopic sphincterotomy for retained common duct stones, Ann. R. Coll. Surg. Engl., 71, pp. 359-360, (1989)
  • [10] Blumgart L.H., Benign biliary strictures, Surgery of Liver and Biliary Tract, pp. 721-752, (1988)